HomeMy WebLinkAbout37000990514000_Variances_06-07-1978White — Office
• Yellow — Owner
Pink “ Township
APPLICATION FOR VARIANC FROM /
Requirements of Shoreiand Management Ordinances Qtter Tail Courjty;
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n innesota
Owner:Phone No.
Last Name First Middle
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Street & No.City State Zip No.
rr~Py ?6-l>Legal Description; Lake No..Lake Name Lake Class
Uco2j VSec.Twp.Range
TAMY 6/rA/~
Twp. Name,
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If applicant is a corporation, what state incorporated in____
Applicant is: ( ) Owner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership.
yes or no
NAME, ADDRESS AND ZIP NO,NAME, ADDRESS AND ZIP NO,
This application for deviation is from Shoreiand Management Ordinance, Otter Tail County, Minnesota for conditons found in
yo
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:'Se^ioncP c:Ao<YiS^///r^
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
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19_2_^Application dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
ISTZ^/VI jiO v>i ,3 /Date application filed with Shoreiand Management Administratioa
Deviation requires: Planning Commmission approval ( ) Shoreiand Management approval only { ) Both hX
Filing acknowledgement By
Signature
Date, time and place of hearing ^—1-7/8 7,' ^A/T C iC> i H&UR ^ ^ A/7 A/ .
day of_DEVIATION APPROVED this______
(OR ATTACHED) REQUIREMENTS:
19____WITH THE FOLLOWING
A’ - 7' yp
Signature
Chairman
Otter Tail Planning Advisory Commitaion
Deviation
Approved this day of.19 . By.Malcolm K. Lee, Shoreiand Management Administrator
Otter Tail County, MinnesotaMKL0871-016
171988-a®
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GRID PLOT PLaIm SKETCHING FORM.feet/inches.[•: Scale: Each grid equals
Application for Building Permit Dated,----.19.
19Application for Sewage System Permit Dated
Sewage System Permit Number.Building Permit Number
Applicant agrees that this plot plan is a part of application (s) indicated above.
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19,Dated Signature
iJi)n this form make a drawing of your lot. Indicate all present buildings
l^:5iitb solid lines and all proposed buildings or additions with dotted
-p-tlanes. -Also indicate in feet; lake setback, side yard setback and rear Il^^ard setback.
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